Composite Treatment for Primary Long-bone Hydatidosis

Banerjee, Samik; Sabui, Kanchan Kumar; Mondal, Jayati; Nath, Chinmoy; Pal, Dilip Kumar

doi:10.3928/01477447-20121120-34

Cited by 8 publications

(10 citation statements)

References 28 publications

(33 reference statements)

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“…Several interventions are generally required, as observed in our series and in other series previously published [10]. In long bones, osseous CE can occasionally be completely resected with severe sequels from the potential amputation of the limb [25]. When osseous CE affects the pelvis, prognosis may depend on whether the coxo-femoral or the sacroiliac joints are affected or not [26].…”

Section: Discussionmentioning

confidence: 67%

Osseous cystic echinococcosis: A case series study at a referral unit in Spain

et al. 2019

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Background Cystic echinococcosis (CE) is present in all continents, except for the Antarctica. Characteristically, CE lesions are found in the liver and the lungs, but virtually any part of the body may be affected (the spleen, kidneys, heart, central nervous system, bones, among others). It is estimated that the incidence of bone involvement in CE is 0.5% to 4%. Methodology A retrospective study was performed of patients with osseous CE treated at the National Reference Unit of Tropical Diseases of the Ramon y Cajal Hospital, Madrid, Spain, between 1989 and December 2017. Epidemiological, clinical, diagnostic and therapeutic data of patients with long-term follow-up were collected. Main findings During the study period, of the 104 patients with CE, 27 exhibited bone involvement (26%). The bones most frequently affected were the spine, followed by the ribs, pelvis, femur, tibia and the scapula. The most common symptom was pain followed by medullar syndrome and pathologic fracture. In total, 81.5% of patients underwent surgery for osseous CE at least once. As many as 96% received albendazol either in (mostly long-term) monotherapy or in combination with praziquantel. Conclusions The diagnosis and management of osseous CE is challenging. In many cases osseous CE should be considered a chronic disease and should be managed on a case-by-case basis. Lifelong follow-up should be performed for potential recurrence and sequels.

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Section: Discussionmentioning

confidence: 67%

Osseous cystic echinococcosis: A case series study at a referral unit in Spain

et al. 2019

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“…The most common species that affect man are E. granulosus and E. multilocularis result in cystic hydatid disease and alveolar hydatid disease, respectively. The parasite lives in the small intestine of dogs, foxes and other carnivores as definite hosts [ 1 , 2 ].…”

Section: Introductionmentioning

confidence: 99%

“…The disease may result when the eggs, which are discharged with the feces of the definitive host, are accidentally swallowed by the intermediate host [ 1 , 2 ]. Then, the embryos are hatched in the duodenum of the intermediate host, and they traverse the intestinal mucosa to enter the portal circulation.…”

Section: Introductionmentioning

confidence: 99%

“…Then, the embryos are hatched in the duodenum of the intermediate host, and they traverse the intestinal mucosa to enter the portal circulation. Once they escape the filtering action of the lungs and the liver, the embryos finally reach the general circulation to involve the brain, kidneys, bones, and other tissues [ 2 ]. Echinococcosis of the bone is extremely low as most larvae are trapped by the liver and the lungs upon release of embryo in to the portal circulation [ 1 , 3 – 6 ].…”

Section: Introductionmentioning

confidence: 99%

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Tibial hydatidosis: a case report

et al. 2014

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BackgroundHydatidosis is a tapeworm infection caused by the larval stage of Echinococcus species. The organs most frequently affected are the liver and the lungs. Primary involvement of the skeleton is rare. The location of hydatid cysts in the tibia is seldom described in the medical literature, and its diagnosis is challenging and often presenting with a pathologic fracture simulating benign bone cystic lesion.Case presentationWe report a 53-year-old Tigrian woman who developed hydatid disease of the tibia.ConclusionThe diagnosis of primary bone hydatid disease, especially tibial hydatidosis, is difficult and requires high index of suspicion. Hence, orthopedic surgeons should be aware of this disease. Moreover, it should be considered in preoperative differential diagnosis of destructive bone lesions especially in endemic areas.

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“…Despite these treatment options, there is no consensus on the best alternative for reconstruction. 7,8 This study evaluated the long-term results of 2 cases of hydatidosis of the femur treated with wide resection and femoral allograft reconstruction.…”

mentioning

confidence: 99%

Use of Massive Allografts to Manage Hydatid Bone Disease of the Femur

Múscolo¹,

Zaidenberg²,

Farfalli³

et al. 2015

Orthopedics

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Hydatid disease is caused by the parasitic tapeworm Echinococcus granulosus. Osseous involvement accounts for 0.5% to 4% of cases in humans. Patients usually are from endemic zones and are initially asymptomatic, presenting with pain and edema at a later stage of disease. However, large lesions may present initially as pathologic fractures. Standard radiographs usually show expansive osteolytic lesions associated with initial cortical thinning, with compromise of the metaphysis or epiphysis, and may involve the diaphysis. The finding of periosteal reaction, osteocondensation, calcification, and clear delimitation of the lesions excludes the diagnosis of osseous hydatidosis. However, there are no specific radiographic signs in the affected bone. There is no generally accepted treatment algorithm for osseous hydatid disease. The usual treatment is surgical resection of the affected bone, followed by antihelmintic therapy. Some patients can be treated with intralesional procedures, such as curettage and allograft or polymethyl methacrylate cement. However, in some advanced cases, such as those with pathologic fractures or recurrences, wide resection may be needed. Several reconstructive alternatives have been reported, such as megaprosthesis, massive allograft, or alloprosthesis composite. The authors retrospectively reviewed 2 cases of femoral hydatidosis treated with wide resection and reconstruction with massive bone allograft. One patient had 5 years of follow-up, and the other had 9 years. No signs of relapse or complications were recorded, and functional outcomes evaluated with the Musculoskeletal Tumor Society scale showed excellent results. These 2 cases support the use of a massive bone allograft as a valid alternative to reconstruction after extensive bone resection for hydatidic disease.

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Composite Treatment for Primary Long-bone Hydatidosis

Cited by 8 publications

References 28 publications

Osseous cystic echinococcosis: A case series study at a referral unit in Spain

Osseous cystic echinococcosis: A case series study at a referral unit in Spain

Tibial hydatidosis: a case report

Use of Massive Allografts to Manage Hydatid Bone Disease of the Femur

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